Healthcare Provider Details

I. General information

NPI: 1902617434
Provider Name (Legal Business Name): DR. JESSICA LEFKOWITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 W 44TH ST FL 2
NEW YORK NY
10036-4013
US

IV. Provider business mailing address

300 FORT WASHINGTON AVE APT 2A
NEW YORK NY
10032-1343
US

V. Phone/Fax

Practice location:
  • Phone: 646-596-7427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number051219-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: